Effective Nov. 1, 2021, prior authorization will be required for the drugs listed below and in the code list for UnitedHealthcare Community Plan of Maryland members:
If you administer any of these medications without first completing the prior authorization process, the claim may be denied. Members can’t be billed for services denied due to failure to complete the prior authorization process.
You can submit prior authorization requests:
To view the clinicalpolicies for these drugs, go to Medical & Drug Policies and Coverage Determination Guidelines.
Call the Provider Services phone number on the member’s health care identification card.